1. Author: Carrie Bernat, MA, MSW License: Unless otherwise noted, the content of this course material is licensed under a Creative Commons Attribution Noncommercial 3.0 License: http://creativecommons.org/licenses/by-nc/3.0/ You are free to use public domain content in this material. You are authorized to use licensed content within the scope of the stated license (for example, Creative Commons licenses). You are responsible for ensuring your lawful use of any content, and should not assume that use of copyrighted content by U-M within this material means that you are free to use copyrighted content however you wish. Copyright holders of content included in this material should contact open.michigan@umich.edu with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.

2. Sociocultural Women’s Health S tandardized P atient I nstructor Training SP Training p. 27

3. W ELCOME & I NTRODUCTIONS ! p. 28

4. W HAT IS S OCIOCULTURAL M EDICINE ? The understanding, incorporation, and application of social and cultural factors (i.e. gender, spirituality, economic circumstances, education/literacy, race, sexual orientation, and others) to medicine, health and patient care. p. 29

5. T HE G OALS FOR THIS E XERCISE ARE FOR S TUDENTS TO :  Learn to treat patients as individuals.  Learn basic questions to ask to gather pertinent information from patients.  Address an individual patient’s social context, cultural health beliefs and behaviors in order to recognize potential core issues.  Negotiate appropriate treatment modalities that incorporate the patient’s beliefs/preferences. p. 30

6. W HAT THIS EXERCISE IS NOT! Providing students with a list of stereotypical beliefs/information for certain groups of people. It is not realistic to try to learn or “know” every aspect of each culture that could have an influence on a patient, their illness or an interaction with a physician. p. 31

7. W HY IS ADDRESSING CULTURE IN HEALTHCARE SO IMPORTANT ? More effective doctor-patient communication Builds a trusting relationship with patients and increases patient satisfaction. Increases the patient’s disclosure of pertinent information. Increases patient “compliance” which means more positive clinical outcomes and a decrease in health disparities across cultures. p. 32

8. S TUDENT P REPARATION FOR SWH E XERCISE Obstetrics and Gynecology Content Information – OB/Gyn is a required clerkship for all 3 rd year students – Provided to students throughout 6 week OB/Gyn clerkship – SWH Exercise typically occurs at week 5 of OB/Gyn clerkship Student Preparation Booklet – Inside training folders p. 33

9. SP R OLE INFORMATION Break into role groups (A, B, C. or D) Review video Role playing exercise p. 34

10. R OLE I NFORMATION Case A Afraid the Pap smear will give you cervical cancer Case B Concerned about possible infertility and invasiveness of exam. Case C No health insurance– concerned cost will be excessive. Case D Concerned she may be pregnant and worried about confidentiality p. 35

11. S CORING THE S TUDENTS Communication Skills Checklist Content Checklist Video Review and Scoring Practice p. 36

12. Q UESTIONS ? Next Training Session: Continue with Scoring and Feedback Discussion! p. 37